Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 3802-26 | WI |
Y | 225X00000X | Occupational Therapist | OT60933255 | WA |
N | 225XE0001X | Environmental Modification | OT60933255 | WA |
N | 225XG0600X | Occupational Therapist - Gerontology | OT60933255 | WA |
NPI | 1831243658 |
---|---|
Provider Name | Ms. Rachel N Moritz |
First Address | Bremerton, WA 98312-4740 |
Second Address | Tacoma, WA 98405-5092 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 07/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1831243658 | (05) | WI |